HESI PN MENTAL HEALTH

HESI PN Mental Health 1.A nurse on a mental health unit is assisting with the plan of care for a newly admitted client who has anorexia nervosa. Which of the following actions should the nurse include in the plan of care? Answer: Offer liquid supplements to the client 2. A nurse in a mental health facility is caring for a client who has schizophrenia. The client becomes violent in the dayroom and begins throwing objects at staff and other clients. After calling for assistance. Which of the following actions should the nurse take next? Answer: Tell the client calmly to sit down 3. A nurse caring for a group of clients on a mental health unit. Which of the following client behaviors should the nurse reports to the charge nurse? Answer: A client who is manic has been pacing the unit for several hours 4. A nurse is collecting data from a client who is taking valproic acid for the treatment of bipolar disorder. The nurse should identify that which of the following findings is priority to report to the provider? Answer: Bleeding gums 5. A nurse is attempting to resolve an ethical dilemma that involves a client’s medical decisions and his own personal values. After collecting data and identifying the problem, which of the following actions should the nurse take next? Answer: Determine the benefits and consequences of respecting the client’s medical decisions 6. A nurse is reinforcing teaching with a client who has obsessive-compulsive disorder and performs hand hygiene to decrease anxiety. Which of the following actionsshould the nurse take to demonstrate modeling as a behavioral intervention strategy? Answer: Demonstrating performing hand hygiene at appropriate times 7. A nurse is caring for a client who has antisocial personality disorder. Which of the following actions should the nurse take when caring for the client? Answer: Remind the client of consequences for unacceptable behavior 8. A nurse is assisting with the plan of care for a client who is malnourished due o alcohol use disorder. Which of the following interventions should the nurse include in the plan? Answer: Restrict the client’s sodium intake 9. A nurse is collecting data from a client whose home was destroyed by a fire. Which of the following responses should the nurse make first? Answer: Are you experiencing feelings of hopelessness? 10. A nurse is reinforcing teaching with the parent of an adolescent who has amphetamine use disorder. Which of the following statements by the parent should the nurse identify as indicating an understanding of the teaching? Answer: Dilated pupils are a sign my child is using amphetamines 11. A nurse is collecting data from a client who has agoraphobia. The nurse should identify that which of the following situations will increase the client’s anxiety? Answer: Traveling in an airplane 12. A nurse is monitoring communication between a client who has alcohol use disorder and her partner. Which of the following communication patters of the client’s partner should the nurse identify as being effective? Answer: I become very angry when you get drunk 13. A nurse is preparing to administer lithium 450 mg PO to a client who has bipolar disorder. Available is lithium 150 mg capsules. How many capsules should the nurse administer? Answer: 3 capsules 14. A nurse is collecting data from a client who uses alcohol” to cope with stress.’’ Which of the following questions should the nurse ask? Answer: What daily activities are disrupted because of your alcohol consumption? 15. A nurse is reinforcing teaching with an adolescent client who has a history of aggressive behavior. Which of the following statements should the nurse make? Answer: Have you considered participating in a sport to help control your aggression 16. A nurse on an inpatient mental health unit is supervising a group of clients in the unit’s dayroom. The nurse failsto respond to the escalating, aggressive behavior of a client eventually becomes violent and injures another client. For which of the following is the nurse liable? Answer: Negligence 17. A nurse is reviewing the medical record of a client who has schizophrenia. For which of the following findings should the nurse withhold the client’s medications and notify the provider? Answer: WBC count 18. A nurse on a mental health unit is caring for four clients who have schizophrenia. Which of the following clients should the nurse see first? Answer: The client who is experiencing command hallucinations 19. A nurse is reinforcing teaching about stress management techniques with a client who has mild anxiety. Which of the following statements should the nurse make? Answer: You should listen to music when you feel stress 20. A nurse is caring for a client who is undergoing outpatient electroconvulsive therapy (ECT) to treat rapid-cycling bipolar disorder. Following the procedure, which of the following action should the nurse take? Answer: Administer oxygen to the client 21. A nurse is caring for a client who has psychiatric symptom disorder. Which of the following actions should the nurse take? Answer: Encourage the client to examine how hisillness behavior affects hisfamily 22. A nurse is caring for a client who recently lost his child in a motor-vehicle crash. The client is expressing feelings of hopelessness. Which of the following questions is the most important for the nurse to ask? Answer: Have you had any thoughts of harming yourself 23. A nurse is caring for a client who has dementia. Which of the following actions should the nurse take? Answer: Stand in front of the client when speaking 24. A nurse is collecting data from a client who is experiencing oxycodone toxicity. Which of the following medications should the nurse anticipate the provider to prescribe? Answer: Naloxone 25. A nurse is assisting with the admission of a client who has an eating disorder. During data collection, which of the following findings should the nurse identify as manifestations of bulimia nervosa? Answer: -Tooth erosion -Hand calluses -Hypokalemia 26. A nurse is caring for a client who is taking lithium and reports persistent nausea and vomiting for 2 days. Which of the following laboratory values should the nurse report to the provider? Answer: Sodium 132mEq/L 27. A nurse is collecting data from a client who has delirium. The nurse should identify which of the following conditions as a predisposing factor for delirium? Answer: Hepatic failure 28. A nurse is caring for a client who states,” this has been the worst day of my life.’’ Which of the following responses should the nurse make? Answer: Tell me about your day 29. A nurse is assisting with the admission of a client to an acute care mental health facility. Which of the following activities should the nurse plan for the working phase of the therapeutic relationship? Answer: Evaluate the client’s progresstoward meeting his goals 30. A nurse is caring for four clients who are displaying the use of defense mechanisms. Which of the following clients should the nurse identify as using maladaptive defense mechanism? Answer: A client who has multiple sclerosis stops taking her medication and says her diagnosis is wrong 31. A nurse is participating in group therapy for clients who have major depressive disorder. Which of the following topics should the nurse include in the orientation phase of group therapy? Answer: Confidentiality 32. A nurse is assisting in the morning hygiene care of a client who is cognitively impaired. Which of the following statements should the nurse make? Answer: Let me help you get your toothbrush 33. A nurse is caring for a client who has schizophrenia and a prescription for haloperidol. The nurse should identify that which of the following findings indicates a potential need for a PRN dose of benztropine? Answer: Shuffling gait 34. A nurse is caring for a client who states that she does not want to go to physical therapy after having a below-the-knee amputation. Which of the following responses should the nurse make? Answer: What are your feelings about going to physical therapy 35. A nurse is contributing to the plan of care for a client who has an anxiety disorder. Which of the following interventions should the nurse recommend be included in the plan? Answer: Help the client to identify situations that trigger his anxiety 36. A nurse is collecting data from a client who is experiencing severe anxiety. Which of the following manifestations should the nurse expect? Answer: Sighing 37. A nurse is collecting data from a client who is experiencing alcohol withdrawal. Which of the following findings should he nurse anticipate? Answer: Elevated blood pressure 38. A nurse is collecting data from a client who has dementia and whose family expresses concern about hisincreasing “memory problems.” Which of the following findings should the nurse identify as the priority? Answer: The client sometimes wanders from the house 39. A nurse is contributing to the plan of care for a client who has antisocial personality disorder. Which of the following short-term goalsshould the nurse recommend be included in the plan? Answer: The client will discuss feelings that cause hostility 40. A nurse is planning to collect data from a group of clients. The nurse should expect threat which of the following clients is likely to exhibit speech pattern alterations? Answer: A client who has schizophrenia 41. A nurse in a community center is caring for a client who has histrionic personality disorder. Which of the following findings should the nurse expect? Answer: Impulsive behavior 42. A nurse is reinforcing teaching with a client who has a new prescription for phenelzine. The nurse should instruct the client that eating foods containing tyramine can cause which of the following adverse reactions wit this medication? Answer: Hypertensive crisis 43. A nurse is caring for a client who reports recent amphetamine use. Which of the following manifestations should the nurse expect? Answer: Paranoia 44. A nurse is caring for a client who has a depressive disorder and declines electroconvulsive therapy (ECT) despite the provider’srecommendation. Which of the following ethical principles is the nurse demonstrating by supporting the client’s decision? Answer: Autonomy 45. A nurse is caring for a client who is experiencing opioid withdrawal. Which of the following medications should the nurse expect to administer? Answer: Naltrexone 46. A nurse on a mental health unit is reinforcing teaching about informed consent with a newly licensed nurse. Which of the following statementsindicates and understanding of the teaching? Answer: The consent form should have the name of the provider who is performing the procedure on the form 47. A nurse is caring for a client who is undergoing behavioral therapy for posttraumatic stress disorder (PTSD). The nurse identify that which of the following findings indicates an improvement in the client’s condition? Answer: The client report about techniques she uses to promote sleep 48. A nurse istalking with a client who has borderline personality disorder, the client states she is lonely and thinks the other nurses avoid her, but she is afraid to share this concern with the other staff. Which of the following actions should the nurse take? Answer: Role-paly this situation so the client can gain confidence in expressing her feelings 49. A nurse is collecting data from a client who has a history of cocaine use, which of the following manifestationsis an indication that the client is experiencing cocaine toxicity? Answer: Seizures 50. A nurse is contributing to the plan of care for a school-age child who has attention deficit hyperactivity disorder. Which of the following interventionsshould the nurse recommend? Answer: Instruct the child to apologize for behavior that negatively affects others